Individual
LIDICE VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7065 WESTPOINTE BLVD STE 308, ORLANDO, FL 32835-8758
(407) 435-4791
Mailing address
2109 PUTTER PL, KISSIMMEE, FL 34746-3971
(407) 435-4791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/22/2014
Last updated
02/12/2024
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